our second panelist should be familiar to most people, dr. ezekiel emanuel, a senior fellow here at cap and the viceo provost for global initiatives at the university of pennsylvania. he served as a special adviser of the director of the office management and budget as well as the national economic council. one of the author of the affordable care act. welcome to both of you. i would like to start with your thoughts about the governor's speech direct -- speech. >> what was needed for me the most was talking about the new reality. -- what resonated for me was talking about the new reality. my viewpoint as a physician and health it, as we think about tomorrow and the future of health care, it is hard to imagine it accomplishing some of the things that governor mentioned in a paper base system. i've seen a lot and benefits learning, so many benefits to technology that have yet to be explored in health care. and really need to work within the framework of medicine to rid the are still at that paradox, as he mentioned. the future is very bright. >